Individual
DANIEL MARTIN O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(508) 254-1219
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME157243
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114901800
—
FL
01
—
BJPMY
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/27/2018
Last updated
08/10/2022
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